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General NPI Number Information
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NPI Number | 1477061729
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Entity Type | Organization
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Legal Business Name | SYLVAN MEADOWS COMMUNITY SERVICES
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Dates
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Enumeration Date | 01/19/2018
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Last Update Date | 01/19/2018
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Provider Practice Location Address
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Address Line | 746 E PIPELINE RD
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City | HURST
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State | TX
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Zip | 76053-6011
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Country | US
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Telephone | 817-845-8383
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Fax | 817-284-4000
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Provider Business Mailing Address
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Address Line | 746 E PIPELINE RD
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City | HURST
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State | TX
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Zip | 76053-6011
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Country | US
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Telephone | 817-845-8383
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Fax | 817-284-4000
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LYNETTE D. BAPTISTE
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Credential |
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Telephone | 817-845-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 018380
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License Number State | TX
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